Table S1.

Member check feedback survey (indicate the degree that the following study findings seem true)

Findings statement	Very accurate	Somewhat accurate	Somewhat inaccurate	Very inaccurate
Change tends to be introduced by clinic members who are influenced by information sources outside the clinic
Physical therapists (PTs) in this clinic rely on comfortable networks of communication to gain information and make meaning of changes
The clinic has a general tolerance of change and is represented by those who identify as progressive and innovative
For change to be accepted in this clinic, it has to seem compatible with the current clinic values and goals
PTs in this clinic choose experimentation over mandates in the process of implementing new things
PTs in this clinic need tangible proof that change is needed and working
Any changes in this clinic must be grounded in the patient-centered care that we provide
Our clinic is always positioned for the next opportunity or to respond to the next threat
Our clinic’s ability to change and survive makes the relationships among staff stronger
Comments:
1. Does a shared philosophy of care create a culture that makes changes easier or harder?
2. In a clinic with staff who share a philosophy of care, how are new ideas best cultivated?
3. To what degree does innovation flow both ways, with introduction of change from either within the clinic or outside?
4. How does the process of change differ depending on where the idea comes from?